SHANNON SHALVIS VILLANUEVA

CHICAGO, IL
NPI1215214945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051290493)
Additional Taxonomies183500000X Pharmacist
(Licence: NC  14504)
Enumeration Date2011-11-09
Last Update Date2011-11-09
Business Address
-- SHANNON SHALVIS VILLANUEVA
1601 N WELLS ST
CHICAGO, IL 60614-6001
Phone number: 312-642-4008
Mailing Address
-- SHANNON SHALVIS VILLANUEVA
3855 N HOYNE AVE # 2
CHICAGO, IL 60618-3907
Phone number: 312-369-9996